
10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
🔥 45 minutes ago
🏈 Alabama, Arizona, +43 more states – Remote
💵 $47k - $112.2k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
👔 Manager
👻 Ghost score 0%
Where this job comes from
Posted on CVS Health's careers page, not through a job board
First seen by Remote Rocketship 45 minutes ago

10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
• Lead and develop a high-performing team of testing analysts focused on quality, accuracy, and collaboration • Oversee testing inventory, project plans, and daily work prioritization to support service level agreements for timeliness and accuracy • Partner with leadership, testers, claims, configuration, and IT teams to drive effective testing processes and successful claim payment outcomes • Coach team members to strengthen testing quality, consistency, and adherence to department policies and procedures • Ensure testing tasks are completed accurately and on time, escalating issues as needed • Define, develop, and maintain test scripts to support complete and high-quality testing prior to sign-off • Participate in test plan, test case, and test walkthrough discussions with subject matter experts to confirm testing scope and requirements • Validate actual testing results against expected outcomes and proactively communicate issues, risks, delays, and defects • Research and resolve testing-related issues in partnership with business and technical teams • Interpret state and health plan source documentation and apply that understanding to internal documentation and QNXT system output • Promote process improvement, education, and collaboration across teams and stakeholders • Work with AI to improve productivity, automate routine tasks, and enhance decision-making
• Experience with QNXT claim and configuration review, including strong knowledge of modules related to claim payment processing • Demonstrated ability to complete work accurately and within established timelines • Experience leading people, projects, or both • Associate degree or equivalent experience • Experience supporting or leading testing activities within QNXT or closely related operational systems • Experience in Medicaid and Medicare claim processing • Knowledge of claims policies and procedures • Experience with systems management • Experience with Microsoft SQL Server • Advanced proficiency with Microsoft Excel, Word, and Outlook • Strong leadership, communication, and collaboration skills • Ability to anticipate needs, solve problems, and drive results across teams • Availability during evenings and weekends may be required to support testing activity outside standard business hours
• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being
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